Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm with a potential for minimal harm. The least severe class of CMS finding.
CMS uses a scope/severity grid (A through L). Letters A-F indicate no actual harm, G-I indicate actual harm, and J-L indicate immediate jeopardy. Scope (isolated, pattern, widespread) is encoded in the same letter.
Corrected on 2023-10-20.Deficient, Provider has date of correction